321 NE 100 StOWNER'S NAME
ci4 A/J Pocrc_SEN
NEW CONSTRUCTION
PRESENT ADDRESS 1
3Z1 Ai. E. /AO £4...
LICE' SE O.
PHONE NO.
2
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JOB LOCATION (ST. OR AVE.)
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REPAIRS
REPAIRS
LOT
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BLOCK
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SUBDIVISION
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GENERAL CONTRACTOR
2 e. 4 70$t•
SUBMITTED TO PLANNING BOARD
gas 2/
ADDRESS
n1.t.J
REFERRED TO COUNCIL
REASONS
PHONE NO.
LICENSE NO.
/se)
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BUILDING PERMIT NO. 31- (i 4
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ThrrE
S S-48
PERMIT FEE S /p o
NO.
BUILDER'S BOND
✓ DATE 4
ZONE
414•410q
REQUIREMENTS
CU. FT.
TU. Goo °-=
I _W.A •CUBE / CU. FT.
EST. COST S
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: /.J•(t .
DATE
r- 3/- �T
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
NEW CONSTRUCTION
TYPE
ScrGG
STORIES
G'yJG
ROOF CONSTRUCTION
I ZJ, 14 Op.
C INTERIOR CONSTRUCTION
SGrCG l'ae- o ls A.fd, ha./ -
REPAIRS
REPAIRS
DESCRIPTION
��•• n ,
i e 74.11. 74.11. S a,7C /CG el" -
X, a 1 L�ogs d At 1 �( s _
ALTERATION
DE CRI P T ON
ADDITION
SUBMITTED TO PLANNING BOARD
APPROVED
REJECTED
REFERRED TO COUNCIL
REASONS
RE- SUBMITTED TO PLANNING BOARD
SUBMITTED TO VILLAGE COUNCIL
REMARKS
��/
CERTIFICATE OF OCCUPANCY NO. `� �� I
/ /
ISSUED r
�
BY •S
I TO C / i ST/ /3 l\I p ®Zn. C [J
DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: /.J•(t .
DATE
r- 3/- �T
BUILDING PERMIT AND INSPECTION RECORD —MIAMI SHORES VILLAGE
INSPECTIONS
DATE
BY
INSPECTIONS
DATE
BY
FOUNDATION
$
SEPTIC TANK
ROOF
ROUGHING
$
BEAMS & LINTELS
TUB & TOP OUT
I
POOL
SOLAR HEATER
FRAMING
$
AIR COND.
RANGE CONN.
FINAL
FIXTURES
CLEAN UP
a
SLAB
5t
FIXTURES & FINAL
SLAB
SPECIALS PERMITS
PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
BY
ROUGHING
$
SEPTIC TANK
TEMPORARY SERVICE
ROUGHING
$
SEWER
TUB & TOP OUT
I
$
SOLAR HEATER
$
GAS
RANGE CONN.
$
FIXTURES
a
INSPECTIONS
DATE BY
RE - INSPECT
BY
RE - INSPECT
BY
ROUGHING
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
H. W. HEATER CONN.
TUB & TOP OUT
I
$
RANGE CONN
$
SEWER
RANGE CONN.
$
FIXTURES
SEPTIC TANK
5t
FIXTURES & FINAL
SOLAR HEATER
FIXTURES
GAS
CONTRACTOR
PHONE
PERMIT NO. 1 DATE
FEE. $
NEW BLDG. I ALTERATION I ADDITION
REPAIRS
SPECIAL PERMITS PERMIT NO.
DATE
FEE
TEMPORARY SERVICE
ROUGHING
$
H. W. HEATER CONN.
I
I
$
RANGE CONN
$
:ROTORS
RANGE CONN.
$
FIXTURES
S
5t
INSPECTIONS
DATE
BY
RE- INSPECTI BY
RE- INSPECT BY
TFMP SERVICE
ROUGHING
I
I
H. W HEATER CONN
RANGE CONN.
FIXTURES & FINAL
!✓. Koer:
BUILDING INSPECTIONS me 5
CONTRACTOR
PERMIT NO.
NEW BLDG.
PLUMBING PERMITS & INSPECTIONS
DATE
ALTERATION
ADDITION
ELECTRICAL PERMITS & INSPECTIONS
APPROVAL TO POWER CO. FOR SERVICE DATE
PHONE
FEE $
REPAIRS
BY
Street. Address
CERTIFICATE OF OCCUPANCY
MIAMI SHORES VILLAGE, FLORIDA
BUILDING DIVISION
N° 1574
1 1 •
2
Plan cube = 1200
T. V. . 600
Miami Shores Village, Florida, 4 -1-65
Owner, Agent or Tenant of Building Chri sti en Fouls en
Lot 15 8' 16 Block 39 Subdivisio
Approved use by occupancy Screen Porcth won
Remarks 5
This Certificate of - Occupancy is issued to the above named owner
for building at above named location only upon the express provision that the applicant will
abide by and comply with all conditions of Ordinances Nos. 92, 93, 94 and 97, known as the
Zoning, Electrical, Plumbing and Building Ordinances of Miami Shores Village pertaining to
the erection, construction, alteration or remodeling of buildings or structures.
BUILDING
ELECTRICAL
PLUMBING
ROOFING
Owner of
Building C-
Architect t
Contractor
or Builderl
Legal Lot II
Description i ( / r -- Bl
CONTRACTOR OR BUILDER
MIAMI SHORES VILLAGE, FLORIDA
DATE ?/
PERMIT N9
'Posted �� ta
Work to be performed under this Permit
2
Subdi- /
vision I •
Address of r '` r Value of 1 Amount of
Building -' k ! � t 1 }rs v Project $ w. e ' c ' Permit $ f'
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any
plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked
at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this
permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and
regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes respon-
sibility for work done by his agents, servants or employees. ,t'
7 e '
Signed 1
t..,
'ter 't ..:.- w._"1°--
In consideration of the issuance to me of this permit I agree to perform the work covered hereunder in complf with all ordinances Zind regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper orities of Miami Shores Village. In as
cepting this permit I assume responsibility for tall work done by eitIxelt myself, my agent, servant or employee.
i.
BY AUTHORITY
19
INSPECTOR
STATE OF FLORIDA,
COUNTY OF DADE.
ss.
Disapproved _ --- _ cy7 - --.- - Dat
(Signed)
Building Inspe
Date 16 1 .
( Signed
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag3, Florida, and all provisions of the Law• of the State of Florda, all ordinances of Miami Shores Village ^nd all rules and
regulations of the Building Division of Miam Shores Village sh, .11 be co :,plied with whether 113r: in specifie%. . not. A cop of approved
plans and specifications must be kept at building during progress of the work.
Date.
Owner's Name and Address_ a�' %∎
Registered Architect and /or Engineer ___.__.._ A
Name and address of licensed contractor IVO • J j Ad o J° 7 /.t/[J 2-40J
Location and legal description of lot to be built on:
Lot --- /6- /_ Block ----- l --- --- Subdivision__ _LL?/Jfl.4_' ��G
Street and Number where work is to be done ______ 2-1 N 5 ADO Alf /
State work to be done and purpose of building (by floors) _____.____
Amount of Permit $
Read, Sworn to and Subscribed before me.
Notary Public, State of Florida
My Commission Expires
No. of Stories
.0 W et, Ca /c/ /4.v/ / /7-‘0,
P13, I -76
and for no other purpose.
New Building Remodeling Addition Repairs `/
To be constructed of_______ _ _____ _ Kind of foundation Roof Covering
Estimated Total cost of improvements $._._a o ® --
Zone cubage required____ _Plan Cubage 12 . oa
Distance to next nearest building__. Size of Building Lot_
Maximum live load to be borne by each floor_
I hereby submit all the pla and specifications for said building. All notices with reference to the building and its construction may
be sent to._ _. w!'__ J _' -_ � v c " 0 J1 . , - 4 € P (
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub- contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on w rk to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks-- - - - - -- -
•
/ • �
to 0_d _
Before .me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No._ -k"+ / '-
_ to me well known,
ANNING BOARD __ _ _ - -- _ -- _ . __ DATE
Chairman __ _ Member
Member _ . Member
Member
Council Approved . _ Date Disapproved .__ Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after appr:..1 has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for Inspection or faulty
materials and /or workmanship.
ScP4. .
I'14
4 41°4 •
c � 6�
Pe. e. {+. fi 77
di, o-cog
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing or other strw ture herein described. This application is made in compliance and conformity with the Building Ordinance of Miami
Shores Villag', Florida, and all provisions of the Law of the State of Florda, all ordinances of Miami Shores Village ^nd all rules and
regulations of the Building Division of Miam• Shores Village sh 11 be co.:Tiled with whether h-r in specifie.' . not. A cop of approved
plans and specifications must be kept at building during progress of the work.
Owner s Name and Address ___ ____I Y L 5 E Ai
Registered Architect and/or Engineer. _i_ _ . _ — . - ' . --- ---- -- - - ---- - - -- --- -- - -
Name and address of licensed contractor _
C A /--r 0 0 ,-//ti C. p o 3 s ,4/J },9420 t"
Location and legal description of lot to be built on:
Lot Block _ Subdivision_
Street and Number where work is to be done 3 2 - (A/ E- 2 0 5
....—.......406momverk to be done and purpose of building (by floors).
e ■ 1 1^ C 14 (I E t--
--
0 / (VC .A P/)/r/oN a2'
New Building
STATE OF FLORIDA,
COUNTY OF DADE. ss.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Remodeling. Addition__
To be constructed of._ _ _ _ _ Kind of cliipiktion
Estimated Total cost of improvements $ Amount of Permit $. 0-0
Zone cubage required. _Plan Cubage
Distance to next nearest building_ Size of Building Lot
Maximum live load to be borne by each floor_
Dat,_
____ No. 3. Street_ At_ _ /Q
Repairs No. of Stories _
Roof Covering
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to _ -
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub-contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the sit- of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on wor to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks__ ...... (Signed
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, perso.ially ap-
peared ....... _
- - -- to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the _
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No ------ G.r■ _ ci_ Date____q_ ___________ Read, Sworn to and Subscribed before me.
Disapproved _ _ _ _ _ _____ Date
( Signed)
Notary Public, State of Florida
CA
Building Insp tor My Commission Expires
PLANNING BOARD _ . _ DATE
Chairman Member _
Member Member _
Member __._ _ _ _ _ Member
Council Approved . Date Disapproved
and for no other purpose.
• ...........
Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after appr ,1 has been obtained from
the Planning Board.
A re-inspection fee of $1.00 will be charged when such re-inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.